Dental Insurance Coverage

If you don’t review dental insurance policies on a daily basis, you’re not alone. Lucky for Aegis Dental patients, we do review insurance benefit packages and claims forms almost every day, and we can offer the benefit of our knowledge and experience to help our patients maximize their coverage. If you have a preferred provider organization (PPO) insurance policy, we will be happy to process and file your claims to ensure you receive the benefits you deserve. For most PPO plans, we even offer in-network coverage to make sure you have the lowest possible out of pocket costs. If you’re ready to visit a dental team who will take the stress of insurance off your shoulders, it’s time to contact Aegis Dental and schedule your appointment in our Carrollton dentistry practice. We’ll be happy to review your policy, accurately estimate treatment coverage, and help you to make the most of your dental insurance investment.

Benefits of Dental Insurance Coverage

These days, dental insurance benefits are not necessarily a given. In fact, many employers are no longer offering these benefits. While this is unfortunate, the good news is finding your own dental insurance coverage is actually very simple. We really encourage our patients to invest in dental insurance policies, even if they’re not included in a company benefit package. These insurance benefits can help to offset the costs of your necessary treatments, and they usually cover the entire cost of your preventive checkups and teeth cleanings in order to help you keep your smile healthy.

Dental Benefit Basics

If you do have a dental insurance plan, you are likely struggling to make heads or tales of the pages and pages of jargon like “premium,” “maximum,” “in-network,” and more. Lucky for our patients, you don’t need to worry about translating these benefit plans into reasonable language on your own. That’s what our team is here for. We’ll review your specific coverage before we begin any treatment plan and provide accurate estimates for any out of pocket costs. The basics to keep in mind are actually much simpler than they may sound. You’ll pay a “premium” each month. Your insurer will then cover a percentage of the cost of your necessary dental care up to an annual plan “maximum” that is usually between $1000 and $1500. In most cases, you can expect to receive the following coverage:

• Prevention – checkups, cleanings, dental sealants, and more are usually covered at 80 to 100%
• Restoration – fillings, crowns, dentures, and other restorative services usually covered at 50 to 80%
• Orthodontics – traditional and clear braces, when elected, are usually covered at 20 to 70%

In-Network VS Out of Network Insurance Coverage

There are two main forms of dental insurance health maintenance organizations (HMO) and the more common PPO plans, like the ones we’ve been discussing. For HMO plans, patients must visit in-network dentists to receive coverage for their services. Unfortunately, we are not in-network with any HMO dental plans, but if you have a PPO plan, we will usually be happy to process and file claims to help you get the most out of your plan. Additionally, we have an in-network provider agreement to charge prices in-line with your insurer’s fair costs and minimize your out of pocket fees with a number of major plans. We are in-network with all of the following dental insurance providers:

• Aetna
• Ameritas
• Dental Health Alliance – Assurant Employee Benefits
• BlueCross BlueShield
• Careington
• Cigna
• Connection Dental
• Delta Dental
• Dental Select
• Dentaquest
• Dentegra
• Dentemax
• Emblem Health
• Guardian
• Humana
• MCNA
• Metlife
• Principal
• QCD
• Unicare
• United Concordia
• United Health Care